HCPCS Code for Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L4360
HCPCS code L4360 for Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise as maintained by CMS falls under Other Lower Extremity Orthotics .
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Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
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- Podiatry Coding: Distinguish the Differences Between Walking Boot HCPCS Codes - (Oct 25, 2024)
Question: I’m curious about the distinction between codes L4360 and L4361. My vendor mentioned that L4360 doesn't involve air, while L4361 does. However, I couldn't find this information in my HCPCS book. Can someone shed some light on this for me? [...]
- You Be the Coder: Pinpoint Differences Between Walking Boot HCPCS Codes - (Aug 17, 2021)
Question: Can someone tell me the difference between codes L4360 and L4361? My vendor told me that L4360 does not use air and L4361 does use air, but I don’t see that in the code descriptions in my HCPCS book. [...]
- Orthotics: Include Specific AFO Documentation Details for Cleaner Claims - (Mar 29, 2019)
Always ensure the AFO documentation meets general DME requirements. A reader recently wrote in, asking which details a provider should include in the medical documentation for durable medical equipment (DME) items like ankle-foot orthoses (AFOs). Reporting AFOs can be tricky [...]
- Orthotics: Include Specific AFO Documentation Details for Cleaner Claims - (Mar 28, 2019)
Always ensure the AFO documentation meets general DME requirements. A reader recently wrote in, asking which details a provider should include in the medical documentation for durable medical equipment (DME) items like ankle-foot orthoses (AFOs). Reporting AFOs can be tricky [...]
- Reader Question: Check Payer Guidelines for Submitting Modifiers - (Jan 17, 2013)
Question: One of my third-party payers is denying L4360 because they are asking for "the appropriate modifier." Should we use a modifier when billing this code? Connecticut Subscriber Answer: Some payers have an LCD (local coverage determination) for L4360 (Walking [...]
- Reader Question: Check Payer Guidelines for Submitting Modifiers With L4360 - (Jan 04, 2013)
Question: One of my third-party payers is denying L4360 because they are asking for "the appropriate modifier." Should we use a modifier when billing this code? Connecticut Subscriber Answer: Some payers have an LCD (local coverage determination) for L4360 (Walking [...]
- PODIATRY: Top Tips To Avoid Common DME Denials For Cam Walkers - (Jul 14, 2006)
Keep a watchful eye for certain line item requirementsCam walker reimbursement is a tricky task--unless you report the proper codes and justify the medical necessity according to your carrier's policy. Your first step is to determine if coverage is available. [...]
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